File a Complaint

June 5, 2013  | 

Use this form to file a general complaint. DO NOT use this form if the complaint is about Consumer Fraud or Medicaid fraud/abuse, as these issues have separate forms for you to use.   Please download the CONSUMER COMPLAINT FORM if you suspect illegal business practices. Under Mississippi’s Consumer Protection Act, the Attorney General is allowed to sue only to prevent unfair and deceptive business practices occurring statewide or affecting large numbers of people.  If you would like to file an Medicaid Abuse/Neglect Complaint form, click HERE or if you would like to file a Medicaid Provider Complaint form, click HERE.

For all other complaints, please use the form below:

 

Divisions

Person Making Complaint (Complainant)

Person(s) or Entity Whom Complaint is Made (Subject)

Did You Observe The Incident to which this complaint is made?

If So, Are You Willing To Sign A Sworn Statement About The Incident?

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